| NPI | 1780119875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000022506) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 22506) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-09-25 |