| NPI | 1144848383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TN 28918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: KY 3015651) |
| 163W00000X Registered Nurse (Licence: TN RN0000223631) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TN 28918) | |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2024-02-20 |