| NPI | 1285453803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 37296) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TN 37296) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 37296) | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-12-12 |