| NPI | 1821585209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT NUR-APRN-LIC-191101) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 21321) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2022-02-17 |