| NPI | 1528675584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28338) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 212357) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-03-21 |