| NPI | 1487358909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37417) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 234712) |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2024-10-28 |