| NPI | 1881301968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 246579) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 246579) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 37288) | |
| Enumeration Date | 2022-10-31 |
| Last Update Date | 2024-10-17 |