| NPI | 1487305991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2021041454) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018003994) |
| Enumeration Date | 2022-01-17 |
| Last Update Date | 2022-01-18 |