| NPI | 1831712660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 8364) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2211185) |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2022-04-29 |