| NPI | 1043746761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 5129) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN CNP 5129) |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2024-05-17 |