| NPI | 1407344724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011124) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5011124) |
| 208VP0000X (Licence: NC 5011124) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5011124) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2025-09-16 |