| NPI | 1609904317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018883) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F343279) |
| 363L00000X Nurse Practitioner (Licence: CO 1625) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA F089140) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2024-02-12 |