| NPI | 1508449349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 29872) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 213257) |
| Enumeration Date | 2021-04-29 |
| Last Update Date | 2021-08-02 |