| NPI | 1790141943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 901419) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MS 901419) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: MS 901419) | |
| Enumeration Date | 2016-01-04 |
| Last Update Date | 2016-01-04 |