| NPI | 1982142444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL 9199894) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: FL F1216013) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP9199894) | |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2025-06-11 |