| NPI | 1568171809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MO 2023006140) |
| Additional Taxonomies | 163WX0800X Registered Nurse, Orthopedic (Licence: MO 2006030609) |
| Enumeration Date | 2022-11-15 |
| Last Update Date | 2023-03-15 |