| NPI | 1528870011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38023) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN 257315) |
| Enumeration Date | 2025-01-22 |
| Last Update Date | 2025-01-22 |