| NPI | 1982854782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 3799-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R152213-4) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MN R152213-4) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2021-03-18 |