| NPI | 1164729406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1081016) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1081016) |
| 363LC1500X Nurse Practitioner Community Health (Licence: AL 1081016) | |
| 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1081016) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1081016) | |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2022-10-26 |