| NPI | 1982387338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 37259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000266113) |
| Enumeration Date | 2023-08-11 |
| Last Update Date | 2025-07-28 |