| NPI | 1699464511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 33932) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: TN 33932) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 33932) | |
| Enumeration Date | 2023-05-05 |
| Last Update Date | 2025-02-05 |