| NPI | 1851122428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37043) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 140875) |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-09-19 |