| NPI | 1750678306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 172102) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2022-04-19 |