| NPI | 1053524215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 2010005814) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TN RN0000153794) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2023-04-20 |