| NPI | 1740807809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 7361) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 10403) |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2023-05-31 |