| NPI | 1548557960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100601) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 30702) |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2021-07-26 |