| NPI | 1184255127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013810) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 228554) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5013810) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 23784) | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2023-10-24 |