| NPI | 1851772172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 19381) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 196601) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN19381) | |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2017-02-03 |