| NPI | 1952121253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 12169) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 16049-33) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 16049-33) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MN 12169) | |
| Enumeration Date | 2024-10-12 |
| Last Update Date | 2024-10-14 |