| NPI | 1972558120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MT 100419) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MT RN26212) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2023-11-27 |