| NPI | 1437717360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 145254) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-APP-144934) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2026-03-17 |