| NPI | 1235419557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 004695) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 004695) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2024-01-11 |