| NPI | 1740870823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 32647) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 230885) |
| 363L00000X Nurse Practitioner (Licence: TN 32647) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2024-10-10 |