| NPI | 1194408203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34875) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 227759) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34875) | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2023-12-19 |