| NPI | 1285981449 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0135866) | 
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95008767) | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95008767) | |
| Enumeration Date | 2012-08-07 | 
| Last Update Date | 2025-06-24 |