| NPI | 1972240588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: MD R219819) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: MD R219819) |
| 363LP1700X Nurse Practitioner Perinatal (Licence: MD R219819) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MD R219819) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: MD R219819) | |
| 363LF0000X Nurse Practitioner Family (Licence: MD R219819) | |
| Enumeration Date | 2022-05-16 |
| Last Update Date | 2025-07-18 |