| NPI | 1386462679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37439) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 104935892) |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2025-04-21 |