| NPI | 1285732578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: ID NP 676-A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ID NP 676-A) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: ID NP 676-A) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID NP 676-A) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-03-22 |