| NPI | 1609461292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7596) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: ND R50153) |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2023-02-12 |