| NPI | 1306466842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30581) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 204772) |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2025-06-03 |