| NPI | 1619591468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 55933) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NM 55933) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: NM 55933) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 55933) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NM 55933) | |
| Enumeration Date | 2020-06-07 |
| Last Update Date | 2021-01-11 |