| NPI | 1013660604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000031205) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000193383) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2023-03-04 |