| NPI | 1265983357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000021887) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN APN0000021887) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000021887) | |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2022-03-22 |