| NPI | 1871105320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000028011) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TN 196202) |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2022-01-12 |