| NPI | 1326511650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0002124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025275) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2021-07-30 |