| NPI | 1952630378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23323) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2299864) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006778) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 5006778) | |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2024-02-05 |