| NPI | 1548263296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 7673) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 117080) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2018-12-12 |