| NPI | 1770386369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39157) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000254473) |
| Enumeration Date | 2025-03-29 |
| Last Update Date | 2025-08-25 |