| NPI | 1215466735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34429) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 200533) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2023-08-28 |