| NPI | 1245037464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 265048) |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-10-31 |