| NPI | 1003559147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 35244) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000214663) |
| Enumeration Date | 2022-04-17 |
| Last Update Date | 2024-04-17 |