| NPI | 1790459550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 37105) |
| Additional Taxonomies | 163WC1500X Registered Nurse Community Health (Licence: TN 248353) |
| Enumeration Date | 2021-08-05 |
| Last Update Date | 2025-03-07 |