| NPI | 1558961672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NM 74664) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 873368) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NM 74664) | |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2024-02-08 |