| NPI | 1265915383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 165763) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2025-02-04 |