| NPI | 1942205083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 7849) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 122889) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2023-11-13 |