| NPI | 1750954640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 29776) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 000236) |
| 207Q00000X Family Medicine (Licence: TN 29776) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-08-31 |