| NPI | 1740719848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000022582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000147602) |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-06-10 |