| NPI | 1881400562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37625) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 37625) |
| 207RG0100X Internal Medicine, Gastroenterology (Licence: TN 37625) | |
| Enumeration Date | 2024-12-06 |
| Last Update Date | 2025-09-10 |