| NPI | 1992418487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33097) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 33097) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 33097) | |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2023-06-06 |