| NPI | 1598815425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 100181) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT RN16588) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2023-11-27 |