| NPI | 1538385794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: AK 10969) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704132118) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704132118) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 393) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AK 393) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2025-09-11 |