| NPI | 1619623543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 223626) |
| Enumeration Date | 2022-03-01 |
| Last Update Date | 2022-07-28 |