| NPI | 1417105966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 215684) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 215684) |
| 163W00000X Registered Nurse (Licence: NC 215684) | |
| 163W00000X Registered Nurse (Licence: NY 574783) | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2013-03-18 |