| NPI | 1619765633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34892) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000034892) |
| Enumeration Date | 2025-04-29 |
| Last Update Date | 2026-03-03 |