| NPI | 1932372224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN CNP0023) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R1722659) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2021-08-28 |