| NPI | 1891402574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000032693) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 32693) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 32693) | |
| Enumeration Date | 2022-11-01 |
| Last Update Date | 2024-08-28 |