| NPI | 1336730100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 29056) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 205155) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2025-10-29 |