| NPI | 1235840471 |
|---|---|
| Former Name | MAGGIE ROSE HYSJULIEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9502) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: MN 9502) |
| Enumeration Date | 2022-12-08 |
| Last Update Date | 2023-07-04 |