| NPI | 1609683580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 38231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 216500) |
| 363L00000X Nurse Practitioner (Licence: TN 38231) | |
| Enumeration Date | 2024-12-14 |
| Last Update Date | 2025-04-07 |