| NPI | 1831904325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: TN 38220) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TN 38220) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 38220) | |
| Enumeration Date | 2025-02-11 |
| Last Update Date | 2025-08-29 |