| NPI | 1609280833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100842) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 39646) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-11-22 |