| NPI | 1730428764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN17374) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 17374) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 17374) | |
| Enumeration Date | 2013-02-12 |
| Last Update Date | 2023-03-31 |