| NPI | 1508344227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 24674) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 181991) |
| Enumeration Date | 2018-08-03 |
| Last Update Date | 2023-10-20 |