| NPI | 1366849606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19353) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 173143) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000019353) | |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2022-03-31 |