| NPI | 1437874294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32668) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 14315) |
| Enumeration Date | 2022-10-05 |
| Last Update Date | 2024-03-27 |