| NPI | 1811085517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100174) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: MT RN16462) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2022-07-21 |