| NPI | 1669171088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 226537) |
| Enumeration Date | 2023-02-24 |
| Last Update Date | 2023-05-17 |