| NPI | 1992717292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 222149) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CT 002333) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5003962) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2024-01-04 |