| NPI | 1740006626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-242771) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 242771) |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-12-10 |