| NPI | 1124699343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29650) |
| Additional Taxonomies | 163WH1000X Registered Nurse, Hospice (Licence: TN 213974) |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2025-01-08 |