| NPI | 1932673589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 28412) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 141631) |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2022-01-14 |