| NPI | 1558141978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34866) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34866) |
| 163W00000X Registered Nurse (Licence: TN 0000266115) | |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2023-12-20 |