| NPI | 1700206323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000037404) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN RN0000141105) |
| Enumeration Date | 2014-04-22 |
| Last Update Date | 2025-09-29 |