| NPI | 1538614946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-148884) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 247322) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC THOM-N0SC84) | |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-07-27 |