| NPI | 1902328362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN APN0000021331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN Rn0000127177) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2023-04-10 |