| NPI | 1801339494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT 217174) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 98451) |
| 163WC1500X Registered Nurse Community Health (Licence: MT NUR-RN-LIC-98451) | |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2023-07-13 |