| NPI | 1477320232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 238487) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN F12230471) |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2024-03-11 |