| NPI | 1215302732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-LIC-101471) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 101471) |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2021-12-14 |