| NPI | 1184623415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 940090) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 940090) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NC 182417) | |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2023-11-27 |