| NPI | 1700504545 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 31601) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 222242) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 31601) | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-11-20 |