| NPI | 1710564356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28856) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 28856) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 28856) | |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-04-08 |