| NPI | 1093360851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000025986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000205421) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000025986) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2021-05-31 |