| NPI | 1023399011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IA 2011008067) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IA A110578) |
| 363L00000X Nurse Practitioner (Licence: IA A110578) | |
| 363LC1500X Nurse Practitioner Community Health (Licence: IA A110578) | |
| 363LF0000X Nurse Practitioner Family (Licence: IA A110578) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2023-11-10 |