| NPI | 1821629494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN F01201915) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 27221) |
| Enumeration Date | 2020-01-31 |
| Last Update Date | 2022-07-19 |