| NPI | 1669100350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-198008) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 11021146) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2024-02-19 |