| NPI | 1912008574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT APRN100179) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT RN16565) |
| 363L00000X Nurse Practitioner (Licence: MT APRN100179) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2024-05-06 |