| NPI | 1356174874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL 11022916) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 11022916) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 11022916) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL 11022916) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL 11022916) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11022916) | |
| Enumeration Date | 2024-08-21 |
| Last Update Date | 2024-08-21 |