| NPI | 1699474528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 237660) |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-06-20 |