| NPI | 1265018469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29322) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 214981) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-10-21 |