| NPI | 1316594872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26488) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 208423) |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2021-05-27 |