| NPI | 1609189216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000015136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000150128) |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2024-11-15 |