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 |