| NPI | 1821732488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 34782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 183388) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2023-12-05 |