| NPI | 1891389656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5014627) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 28500) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5014627) | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2025-05-06 |