| NPI | 1376553719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000011774) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN RN0000093906) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2025-05-08 |