| NPI | 1093272601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32769) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN 0000235073) |
| Enumeration Date | 2019-03-01 |
| Last Update Date | 2023-03-22 |