| NPI | 1164995486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN APN0000023380) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000084613) |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2022-03-18 |