| NPI | 1467766949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5013871) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN09181512) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 15084) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5013871) | |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2023-09-19 |