| NPI | 1386235364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 248409) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN F09210222) | |
| Enumeration Date | 2021-02-01 |
| Last Update Date | 2022-03-23 |