| NPI | 1821507849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC002824) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: VA 0024175329) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD AC002825) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024175329) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024175329) | |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2022-10-12 |