| NPI | 1487735866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 60050) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 60050) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 60050) | |
| 363L00000X Nurse Practitioner (Licence: NC 60050) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 60050) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 60050) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 60050) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NC 60050) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |