| NPI | 1053873083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-166351) |
| Enumeration Date | 2019-03-31 |
| Last Update Date | 2023-02-10 |