| NPI | 1083094700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 2685422) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL 2685422) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 2685422) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 2685422) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: FL 2685422) | |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-09 |