| NPI | 1912456914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 0000021836) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN21836) |
| Enumeration Date | 2016-10-02 |
| Last Update Date | 2024-06-13 |