| NPI | 1649919457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29772) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: TN 29772) |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-10-13 |