| NPI | 1972377943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 34791) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 34791) | |
| Enumeration Date | 2023-11-10 |
| Last Update Date | 2025-02-20 |