| NPI | 1962167569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN APN0000031468) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000191958) |
| Enumeration Date | 2021-11-08 |
| Last Update Date | 2025-03-20 |