| NPI | 1982401154 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WG0600X Registered Nurse, Gerontology (Licence: MN 195372-9) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 195372-9) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-08-27 |