| NPI | 1790383438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28682) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193031) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-05-30 |