| NPI | 1558830232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 25169) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 25169) |
| Enumeration Date | 2018-11-25 |
| Last Update Date | 2019-08-12 |