| NPI | 1568530632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN848) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI RN24680) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 200850040NP) | |
| 363L00000X Nurse Practitioner (Licence: OR 200850040NP) | |
| 363L00000X Nurse Practitioner (Licence: HI 848) | |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2015-01-20 |