| NPI | 1417928854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: TN 8026) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 8026) |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-08-12 |