| NPI | 1093347635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000030671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN282114) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2022-05-25 |