| NPI | 1063274587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37326) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 270651) |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-10-08 |