| NPI | 1649918343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30578) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: TN 0000225605) |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2026-01-13 |