| NPI | 1346984408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 191027) |
| Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: MT NUR-APRN-LIC-191027) |
| Enumeration Date | 2022-04-25 |
| Last Update Date | 2023-01-06 |