| NPI | 1427636117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN2671) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN26791) |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2025-02-10 |