| NPI | 1083444244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 36336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 233832) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 36336) | |
| Enumeration Date | 2024-08-03 |
| Last Update Date | 2024-09-18 |