| NPI | 1629759485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 904573) |
| 363L00000X Nurse Practitioner (Licence: TN 35113) | |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2023-12-14 |