| NPI | 1902380124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 27003) |
| Additional Taxonomies | 163WG0600X Registered Nurse, Gerontology (Licence: TN 225595) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: KY 3012853) | |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2024-04-09 |