| NPI | 1982934410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5005019) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 212106) |
| 163WC1500X Registered Nurse, Community Health (Licence: NC 212106) | |
| 163WM0102X Registered Nurse, Maternal Newborn (Licence: NC 212106) | |
| 163WP0200X Registered Nurse, Pediatrics (Licence: NC 212106) | |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: NC 212106) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: NC 5005019) | |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2011-01-25 |