| NPI | 1942631213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-100369) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT 23374) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2021-12-14 |