| NPI | 1750782405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 20169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 190232) |
| 363L00000X Nurse Practitioner (Licence: NC 5007268) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 20169) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 20169) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2023-09-07 |