| NPI | 1891777017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN5543) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 50453) |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2022-05-26 |