| NPI | 1992894042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ID N27129) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: ID N27129) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: ID N27129) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2022-03-01 |