| NPI | 1659932978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 26189) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 192284) |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2024-05-23 |