| NPI | 1013623453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 241721) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-241721) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-09-04 |