| NPI | 1073588455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN8328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN136012) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2023-03-07 |