| NPI | 1407460074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28231) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TN 188273) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28231) | |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2025-07-24 |