| NPI | 1083389977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 212219) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2021-11-01 |