| NPI | 1336104645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 123260) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 7895) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-03-07 |