| NPI | 1952909277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10710-33) |
| Additional Taxonomies | 163WG0600X Registered Nurse Gerontology (Licence: MN 1555745) |
| 363L00000X Nurse Practitioner (Licence: IL 209-021132) | |
| 363LF0000X Nurse Practitioner Family (Licence: MN 6909) | |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-03-07 |