| NPI | 1629434246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-138861) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-138861) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-138861) | |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-02-01 |