| NPI | 1134754401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-223918) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NV f03200101) |
| Enumeration Date | 2020-03-07 |
| Last Update Date | 2023-12-20 |