| NPI | 1285361659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-197759) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: MT NURS-RN-LIC-74941) |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2022-09-13 |