| NPI | 1306866157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100468) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN27140) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-11-27 |