| NPI | 1497451157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33687) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95023621) |
| Enumeration Date | 2023-02-03 |
| Last Update Date | 2025-11-24 |