| NPI | 1992334346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 30629) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 225805) |
| 363L00000X Nurse Practitioner (Licence: TN 30629) | |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2022-08-03 |