| NPI | 1295451631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248251) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2024-12-26 |