| NPI | 1578373353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 281049) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 38611) |
| Enumeration Date | 2025-01-13 |
| Last Update Date | 2025-08-27 |