| NPI | 1437691524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-104859) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 104859) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-08-31 |