| NPI | 1437740818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30378) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000030378) |
| 163W00000X Registered Nurse (Licence: TN 0000248421) | |
| Enumeration Date | 2021-01-28 |
| Last Update Date | 2024-07-30 |