| NPI | 1871733253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: IA H140603) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F305085) |
| 363LA2200X Nurse Practitioner Adult Health (Licence: PA SP010908) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP010907) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: IA F140603) | |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2024-05-31 |