| NPI | 1750892501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 33456) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95007067) |
| 363L00000X Nurse Practitioner (Licence: CA 950007067) | |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2023-08-02 |