| NPI | 1235744525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 28319) |
| Additional Taxonomies | 163WG0000X Registered Nurse General Practice (Licence: TN 203618) |
| Enumeration Date | 2020-09-13 |
| Last Update Date | 2021-01-25 |