| NPI | 1295759884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0000012125) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 11884) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN pending) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2022-03-23 |