| NPI | 1124139456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN13733) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 6292554) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-03-28 |