| NPI | 1609853415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15488-33) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: MN R 141410-3) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2024-09-19 |