| NPI | 1992236475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 22727) |
| Additional Taxonomies | 146L00000X Emergency Medical Technician, Paramedic (Licence: TN 26264) |
| 163WE0003X Registered Nurse Emergency (Licence: TN 171371) | |
| Enumeration Date | 2017-03-25 |
| Last Update Date | 2025-01-09 |