| NPI | 1427418128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-102847) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 75612) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2021-12-14 |