| NPI | 1356680573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000017234) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS A810522) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 17234) | |
| Enumeration Date | 2013-02-07 |
| Last Update Date | 2024-02-02 |