| NPI | 1801548672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-217090) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT NUR-APRN-LIC-217090) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: MT NUR-APRN-LIC-217090) | |
| Enumeration Date | 2022-01-24 |
| Last Update Date | 2024-07-11 |