| NPI | 1144398983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP9469438) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: PA RN541579) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: PA RN541579) | |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2018-07-17 |