| NPI | 1033212287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5002056) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 0050-02056) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 0050-02056) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-08-01 |