| NPI | 1538908421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 243355) |
| 363L00000X Nurse Practitioner (Licence: TN 37153) | |
| Enumeration Date | 2024-05-21 |
| Last Update Date | 2024-09-24 |