| NPI | 1316672140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 33343) |
| Additional Taxonomies | 163WX0002X Registered Nurse Obstetric, High-Risk (Licence: TN 143029) |
| 163WX0003X Registered Nurse Obstetric, Inpatient (Licence: TN 143029) | |
| 363LF0000X Nurse Practitioner Family (Licence: TN 33343) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: TN 33343) | |
| Enumeration Date | 2022-07-17 |
| Last Update Date | 2024-04-17 |