| NPI | 1871385005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 39792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000263590) |
| Enumeration Date | 2025-05-22 |
| Last Update Date | 2025-10-31 |