| NPI | 1811500713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28191) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000191391) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-12-21 |