| NPI | 1992261184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 28528) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 219203) |
| Enumeration Date | 2019-02-13 |
| Last Update Date | 2022-03-18 |