| NPI | 1619620267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-198482) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R51785) |
| Enumeration Date | 2022-02-02 |
| Last Update Date | 2022-10-27 |