| NPI | 1619628427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 34983) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 257278) |
| Enumeration Date | 2022-01-13 |
| Last Update Date | 2024-08-22 |