| NPI | 1336782077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN apn00000265091) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000026509) |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2023-01-19 |