| NPI | 1891344297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 161675) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000234759) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 26551) | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-06-10 |