| NPI | 1790358976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000028533) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: TN RN0000195960) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2021-07-23 |