| NPI | 1811141047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TN 138099) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 13764) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2023-05-09 |