| NPI | 1144455601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: SC 19157) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MN R106798-7) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2021-11-24 |