| NPI | 1922032861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-100462) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN26870) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-100462) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT NUR-APRN-LIC-100504) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2022-02-24 |