| NPI | 1821328121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN14222) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 14222) |
| Enumeration Date | 2010-01-08 |
| Last Update Date | 2019-11-05 |