| NPI | 1992223390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 23444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 167463) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-28 |