| NPI | 1316388119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000017284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000126531) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2022-03-22 |