| NPI | 1821353442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NC 307092) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 305137) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NY 420937) | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2024-02-06 |