| NPI | 1780326504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 188524) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32118) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2022-07-26 |