| NPI | 1578711958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1096296) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1096296) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1096296) | |
| 363L00000X Nurse Practitioner (Licence: AL 1096296) | |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: AL 1096296) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95024640) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1096296) | |
| Enumeration Date | 2008-08-28 |
| Last Update Date | 2023-11-01 |