| NPI | 1821563230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-132031) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT APRN-132031) |
| Enumeration Date | 2018-10-11 |
| Last Update Date | 2021-11-05 |