| NPI | 1699437541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 30441) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 30441) |
| 207V00000X Obstetrics & Gynecology (Licence: TN 30441) | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2023-11-03 |