| NPI | 1003100074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP7256) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN085419) |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2024-01-26 |