| NPI | 1629601711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34085) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN F12190969) |
| Enumeration Date | 2020-02-17 |
| Last Update Date | 2024-04-09 |