| NPI | 1306635867 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 39896) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 281474) |
| Enumeration Date | 2025-05-01 |
| Last Update Date | 2025-10-09 |