| NPI | 1366196446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-217535) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MT 37864) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-09-13 |