| NPI | 1265404644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R133863) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R133863) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R133863) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2024-07-12 |