| NPI | 1396284642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000022218) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN22218) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN22218) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2022-03-28 |