| NPI | 1952569345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN A1207165) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN G0408096) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2013-06-12 |