| NPI | 1700892924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000006736) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000093854) |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-09 |