| NPI | 1740852797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29845) |
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: TN 227370) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2022-03-28 |