| NPI | 1356146377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 38404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000255862) |
| Enumeration Date | 2025-02-14 |
| Last Update Date | 2025-03-11 |