| NPI | 1871917898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 18317) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 18317) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2022-03-23 |