| NPI | 1770846412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN16394) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN137671) |
| 363L00000X Nurse Practitioner (Licence: TN 16394) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TN RN0000137671) | |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2023-03-01 |