| NPI | 1144378738 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: CT 003469) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 003469) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2024-01-23 |