| NPI | 1063257095 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 36735) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 250022) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2024-11-19 |