| NPI | 1548632821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: TN 20574) |
| Additional Taxonomies | 163WM0705X Registered Nurse Medical-Surgical (Licence: TN 132929) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TN APN20574) | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2022-03-15 |