| NPI | 1255608600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 004827) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 004827) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: CT 004827) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CT 004827) | |
| Enumeration Date | 2011-11-29 |
| Last Update Date | 2025-06-05 |