| NPI | 1033984240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 34567) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 34567) |
| Enumeration Date | 2023-11-17 |
| Last Update Date | 2024-03-11 |