| NPI | 1144625963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19306) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19306) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN19306) | |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2020-10-15 |