| NPI | 1073582987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30404) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP12292) |
| 2251G0304X Physical Therapist, Geriatrics (Licence: TN 30404) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2024-04-02 |