NPI | 1164126504 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32764) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32764) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2025-08-27 |