| NPI | 1457010381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2021043723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2015021422) |
| Enumeration Date | 2021-12-08 |
| Last Update Date | 2022-10-10 |