| NPI | 1295287365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 21525) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN APN0000021525) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 21525) | |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2023-12-10 |