| NPI | 1477268274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-208130) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 208130) |
| Enumeration Date | 2023-01-17 |
| Last Update Date | 2024-02-19 |