| NPI | 1073128161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000223255) |
| 163WE0003X Registered Nurse, Emergency (Licence: TN 0000223255) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2024-09-03 |