| NPI | 1669009007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000027176) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR 226014) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2024-04-12 |