| NPI | 1891714507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A182230) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 115726) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: AZ AP5509) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA TP006519V) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP5509) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024169336) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-12-05 |