| NPI | 1225741077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 236809) |
| Enumeration Date | 2022-12-26 |
| Last Update Date | 2023-12-15 |