| NPI | 1568901791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 22235) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 22235) |
| 363L00000X Nurse Practitioner (Licence: TN 22235) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2023-12-02 |