| NPI | 1073231023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-195947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: UT 4792138900) |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2024-01-10 |