| NPI | 1639565575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19850) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19850) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-10-16 |