| NPI | 1881994242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APRN3337762) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL 3337762) |
| 163WS0200X Registered Nurse, School (Licence: FL RN 3337762) | |
| Enumeration Date | 2010-11-01 |
| Last Update Date | 2021-12-29 |