| NPI | 1487041521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24873) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: CA 95002324) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 24873) | |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-01-07 |