| NPI | 1851554471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100250) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 21661) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2021-05-25 |