| NPI | 1841891991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28466) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 0000000) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2024-04-10 |