| NPI | 1942260153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: SC 18368) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP008541) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-03-06 |