| NPI | 1851970909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 180056) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 32829) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2022-11-23 |