| NPI | 1568953651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN APN0000024198) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 24198) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2021-06-25 |