| NPI | 1265554331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9182257) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9182257) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9182257) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2020-07-30 |