| NPI | 1851961049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-192811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT NUR-RN-LIC-192810) |
| 163WG0000X Registered Nurse, General Practice (Licence: NM RN85402) | |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-04-03 |