| NPI | 1518676568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 266682) |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-02-11 |