| NPI | 1588327738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 28767) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 28767) |
| Enumeration Date | 2021-10-14 |
| Last Update Date | 2022-03-31 |