| NPI | 1508340043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 084905-23) |
| Additional Taxonomies | 163WC0200X Registered Nurse Critical Care Medicine (Licence: PA RN613305) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NH 084905-23) | |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2021-08-17 |