| NPI | 1679341853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000035979) |
| Additional Taxonomies | 163WP0000X Registered Nurse, Pain Management (Licence: TN 0000170831) |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-11-20 |