| NPI | 1720705361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 36334) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 193906) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2024-12-17 |