| NPI | 1497239537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TN APN0000024056) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: TN RN0000194060) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2018-09-24 |