| NPI | 1336828003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34419) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 212013) |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-03-23 |