| NPI | 1013675289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 34963) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 235910) |
| Enumeration Date | 2021-12-03 |
| Last Update Date | 2023-12-27 |