| NPI | 1629604566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 27805) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 137499) |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2021-05-13 |