| NPI | 1003297078 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: GA 234548) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN234548) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN234548) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: GA 234548) | |
| Enumeration Date | 2015-06-15 |
| Last Update Date | 2015-07-20 |