| NPI | 1851036859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32550) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 231945) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2024-11-22 |