| NPI | 1093577470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9642596) |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2025-09-10 |