| NPI | 1972900397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN 19383) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 363LA2200X) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 19383) | |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2022-03-28 |