| NPI | 1891098265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MT NUR-RN-LIC-74637) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 169354-2) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R 169354-2) | |
| 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-74637) | |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2015-10-16 |