| NPI | 1801806682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 100077) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT 15392) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2018-07-17 |