| NPI | 1659871424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: MS 902514) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 902514) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 902514) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 902514) | |
| Enumeration Date | 2018-02-17 |
| Last Update Date | 2024-04-20 |