| NPI | 1467995928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-158290) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT 158290) |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2021-11-10 |