| NPI | 1023634201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000029435) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-168862) |
| 363LF0000X Nurse Practitioner, Family (Licence: LA 227519) | |
| 363LF0000X Nurse Practitioner, Family (Licence: GA GAA-NP001521) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-08-31 |