| NPI | 1578167441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28606) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28606) |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2021-05-04 |