| NPI | 1730965864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 168666) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 34770) |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-27 |