| NPI | 1912287152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 45143) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 45143) |
| Enumeration Date | 2011-08-19 |
| Last Update Date | 2024-04-08 |