| NPI | 1548734338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 25354) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25354) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5016675) | |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2025-11-04 |