| NPI | 1851923817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 183303) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 26347) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-09-10 |