| NPI | 1326748971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35731) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TN 224011) |
| Enumeration Date | 2023-03-03 |
| Last Update Date | 2024-04-15 |