| NPI | 1962139030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 32214) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: TN 32214) |
| Enumeration Date | 2022-08-08 |
| Last Update Date | 2023-05-02 |