| NPI | 1609219211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 203026) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 058796-23) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2024-04-08 |