| NPI | 1487829180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-177081) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT Rn25483) |
| Enumeration Date | 2008-04-24 |
| Last Update Date | 2021-10-08 |