| NPI | 1750909388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 8441) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 2172986) |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2022-02-23 |