| NPI | 1982682035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-187140) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 081047387N1) |
| Enumeration Date | 2006-01-07 |
| Last Update Date | 2021-12-16 |