| NPI | 1427757368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34503) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: TN 220510) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2024-03-18 |