| NPI | 1255215919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 214284) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 39580) |
| 163W00000X Registered Nurse (Licence: TN 214284) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-04-16 |