| NPI | 1770041501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 197191) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 25491) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2019-03-11 |