| NPI | 1851072284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34322) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TN 176636) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2024-02-13 |