| NPI | 1821870361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 35103) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 35103) |
| 163W00000X Registered Nurse (Licence: TN 223541) | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-04-22 |