| NPI | 1720272347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-100449) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: MT NUR-APRN-LIC-100449) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007855) | |
| 363L00000X Nurse Practitioner (Licence: MT 74088) | |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2023-12-20 |