| NPI | 1477355659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 12930) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2470666) |
| Enumeration Date | 2025-03-26 |
| Last Update Date | 2025-06-17 |