| NPI | 1770254781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 32339) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 220332) |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2023-04-13 |