| NPI | 1891195459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R 202784-5) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R 202784-5) |
| Enumeration Date | 2014-09-01 |
| Last Update Date | 2014-09-01 |