| NPI | 1861723066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN6394) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN RN82423) |
| Enumeration Date | 2010-01-27 |
| Last Update Date | 2019-02-14 |