| NPI | 1881301109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 9794) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2459009) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2022-12-09 |