| NPI | 1386315778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 33060) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: AR 217516) |
| Enumeration Date | 2021-09-24 |
| Last Update Date | 2022-12-27 |