| NPI | 1831504323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 18866) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 149796) |
| 163W00000X Registered Nurse (Licence: TN 149796) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2024-01-10 |