| NPI | 1699133025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: AL 1-136378) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: AL 1-136378) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-136378) | |
| Enumeration Date | 2016-01-30 |
| Last Update Date | 2018-09-12 |