| NPI | 1598180614 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39491) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9404349) | 
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 4380-33) | |
| Enumeration Date | 2014-02-26 | 
| Last Update Date | 2025-09-15 |