| NPI | 1669120333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34994) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 236678) |
| 363LF0000X Nurse Practitioner, Family (Licence: KY 4014107) | |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2024-04-24 |