| NPI | 1801421847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 30409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193026) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000030409) | |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2023-06-18 |