| NPI | 1629126321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN12537) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5018685) |
| 163W00000X Registered Nurse (Licence: TN 143764) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024187900) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2025-10-14 |