| NPI | 1124454905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-100814) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 38697) |
| Enumeration Date | 2013-09-24 |
| Last Update Date | 2022-02-24 |