| NPI | 1538809983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 31445) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: TN 31445) |
| Enumeration Date | 2022-03-31 |
| Last Update Date | 2022-06-17 |