| NPI | 1811562333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV RN39932) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-11-13 |