| NPI | 1760848410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-250947) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2016000429) |
| 363L00000X Nurse Practitioner (Licence: AR A006120) | |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2025-03-10 |