| NPI | 1336555713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 18812) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-175373) |
| 363L00000X Nurse Practitioner (Licence: VA 24177012) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 18812) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 18812) | |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2024-02-20 |