| NPI | 1306290606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000026248) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9277886) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9277886) | |
| Enumeration Date | 2016-04-22 |
| Last Update Date | 2024-01-22 |