| NPI | 1215636055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34755) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 180625) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2023-12-05 |