| NPI | 1629432208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21119) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21119) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 21119) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-12-21 |