| NPI | 1770304768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-242602) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT NUR-APRN-LIC-242602) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-11-11 |