| NPI | 1205542636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-242101) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MT NUR-APRN-LIC-242101) |
| Enumeration Date | 2023-01-30 |
| Last Update Date | 2024-09-26 |