| NPI | 1407247315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 19522) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TN APN0000019522) |
| 363LF0000X Nurse Practitioner, Family (Licence: MS R879072) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 19522) | |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2022-08-05 |