| NPI | 1043676422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: TN 20881) |
| Additional Taxonomies | 207QA0505X Family Medicine Adult Medicine (Licence: TN 20881) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2022-06-08 |