| NPI | 1265077432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30695) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 214708) |
| Enumeration Date | 2019-11-12 |
| Last Update Date | 2022-09-01 |