| NPI | 1407528896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30546) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 30546) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA 226303) | |
| Enumeration Date | 2021-10-04 |
| Last Update Date | 2022-11-07 |