| NPI | 1376021238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-131547) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 131547) |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2022-02-24 |