| NPI | 1679444897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34843) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 34843) |
| Enumeration Date | 2025-09-12 |
| Last Update Date | 2025-10-23 |