| NPI | 1740610609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 17788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 174065) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2023-11-08 |