| NPI | 1083750731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100330) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 23008) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2025-04-08 |