| NPI | 1235848201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32985) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 245947) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2023-07-21 |