| NPI | 1912547845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 157336) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 129580) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-03-11 |