| NPI | 1306472543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 13030695-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R069706) |
| 363LF0000X Nurse Practitioner, Family (Licence: AR 221700) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 221700) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 13030695-4405) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2023-05-08 |