| NPI | 1992474795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MT NUR-APRN-LIC-178226) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: MT NUR-RN-LIC-178225) |
| 363LF0000X Nurse Practitioner Family (Licence: MT 178226) | |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2021-11-05 |