| NPI | 1396639027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 281420) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 40032) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2026-08-20 |