| NPI | 1578138723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN F03210201) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: TN 31262) |
| Enumeration Date | 2021-05-20 |
| Last Update Date | 2022-03-09 |