| NPI | 1851941215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23450) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 127261) |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2021-09-21 |