| NPI | 1316009004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NE 110667) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 110667) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 110667) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2023-04-17 |