| NPI | 1104461151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 081681-23) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 081681-23) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NH 081681-23) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 081681-23) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2021-09-23 |