| NPI | 1376012831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 5015223) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 321771) |
| 163W00000X Registered Nurse (Licence: MN 2082592) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 6256) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2021-12-08 |