| NPI | 1912305673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WY 1424) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 22078.1425) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95001809) | |
| 363LX0106X Nurse Practitioner, Occupational Health (Licence: WY 1245) | |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2020-09-15 |