| NPI | 1821616194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29859) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 237437) |
| 363L00000X Nurse Practitioner (Licence: TN 29859) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2025-02-19 |