| NPI | 1659088458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32070) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 218580) |
| 363L00000X Nurse Practitioner (Licence: TN 32070) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2023-06-19 |