| NPI | 1811530454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 26659) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: TN 26659) |
| Enumeration Date | 2019-10-27 |
| Last Update Date | 2024-07-29 |