| NPI | 1922068758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT 100634) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT RN9733) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-07-21 |