| NPI | 1841751260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28587) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: TN 174352) |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2024-05-21 |