| NPI | 1285392951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000029778) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017602) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 000029778) | |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2022-03-31 |