| NPI | 1841787470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 5755) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2068752) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2023-11-21 |