| NPI | 1043499940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 6399) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 0299834) |
| 261QU0200X Clinic/Center Urgent Care | |
| 363L00000X Nurse Practitioner (Licence: TN APN0000006399) | |
| 364SF0001X Clinical Nurse Specialist Family Health (Licence: TN APN0000006399) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2021-10-12 |