| NPI | 1396735288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 35681) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 431) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 431-033) | |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2025-01-24 |