| NPI | 1295217289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-161020) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5010940) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-11-24 |