| NPI | 1669543039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT RN023933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT RN23933) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-100305) | |
| Enumeration Date | 2006-11-10 |
| Last Update Date | 2024-07-15 |