| NPI | 1932372943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIC-11616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-217531) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-RN-LIC-102310) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2026-02-12 |