| NPI | 1437572633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN000018338) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TN RN0000170895) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2024-01-03 |