| NPI | 1891403861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: TN 37391) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 245464) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2025-03-25 |