| NPI | 1992057624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT NUR-APRN-LIC-100887) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MT 100887) |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2024-02-29 |