| NPI | 1235870064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 29833) |
| Additional Taxonomies | 364SF0001X Clinical Nurse Specialist Family Health (Licence: TN 29833) |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-07-13 |