| NPI | 1518406826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ND R36385) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R36385) |
| 363LF0000X Nurse Practitioner, Family (Licence: MN 8231) | |
| Enumeration Date | 2017-02-20 |
| Last Update Date | 2023-11-15 |