| NPI | 1013397827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9255775) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 9255775) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 9255775) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9255775) | |
| Enumeration Date | 2015-06-05 |
| Last Update Date | 2016-02-18 |