| NPI | 1407573009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32260) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 32260) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 32260) | |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2024-06-14 |