| NPI | 1508496829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 27110) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 27110) |
| Enumeration Date | 2020-01-26 |
| Last Update Date | 2024-05-17 |