| NPI | 1417926148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 100182) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2021-07-26 |