| NPI | 1780559542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 40222) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 243671) |
| Enumeration Date | 2025-10-09 |
| Last Update Date | 2025-11-02 |