| NPI | 1083350102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: MO 125243) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MO 125243) |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2022-05-11 |