| NPI | 1861989444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 34287) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: TN RN000215951) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2024-01-04 |