| NPI | 1518728351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 274358) |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-01-08 |