| NPI | 1710513114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37856) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: TN RN0000210342) |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2025-01-06 |