| NPI | 1275280364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN APN30911) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN30911) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN APN0000030911) | |
| Enumeration Date | 2022-03-08 |
| Last Update Date | 2023-08-25 |