| NPI | 1023470598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN 21102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 21102) |
| 363LA2100X Nurse Practitioner Acute Care (Licence: TN 21102) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 21102) | |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TN 21102) | |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2024-08-19 |