| NPI | 1508827809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: MD R221746) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: TX 458639) |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2020-03-05 |