| NPI | 1821430281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 815322) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 14217675-4405) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 3266) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2025-11-04 |