| NPI | 1073080099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN25101) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 25101) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN25101) | |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TN APN25101) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-06-11 |