| NPI | 1295973444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F142160) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO RN-120824) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO RN-120824) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IA H142160) | |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2016-05-27 |