| NPI | 1083132393 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP017821) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA md058362L) |
| 208000000X Pediatrics (Licence: PA SP017821) | |
| 208000000X Pediatrics (Licence: PA OS0066587L) | |
| 363LF0000X Nurse Practitioner, Family (Licence: PA SP021105) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2024-08-28 |