| NPI | 1366682924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 13917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 150345) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2022-07-07 |