| NPI | 1245707074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 25211) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 25211) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25211) | |
| Enumeration Date | 2018-10-30 |
| Last Update Date | 2022-03-18 |