| NPI | 1548529050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NC 5012783) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MO 2013041627) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MO 2010041916) | |
| Enumeration Date | 2012-05-04 |
| Last Update Date | 2023-01-26 |