| NPI | 1538713326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MT 146884) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6708) |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2020-02-27 |