| NPI | 1689394629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 261765) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-160478) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-261765) | |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2025-06-03 |