| NPI | 1689038390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19775) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 19775) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2023-08-22 |