| NPI | 1952969792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5018799) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95010809) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95010809) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-12-21 |