| NPI | 1730992181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 38109) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 226175) |
| Enumeration Date | 2025-01-29 |
| Last Update Date | 2025-01-31 |