| NPI | 1437503562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN21079) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 189663) |
| Enumeration Date | 2016-04-14 |
| Last Update Date | 2021-07-21 |