| NPI | 1174229785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37305) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 243849) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-11-14 |