| NPI | 1811394638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000028355) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000195290) |
| Enumeration Date | 2014-11-21 |
| Last Update Date | 2024-01-03 |