| NPI | 1760827315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-127697) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: MT 127697) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2024-02-19 |