| NPI | 1235853359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32618) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 32618) |
| Enumeration Date | 2022-10-03 |
| Last Update Date | 2025-02-05 |