| NPI | 1609411453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30507) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000223198) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 30507) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-06-05 |