| NPI | 1003316159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 813563) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95007293) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 2369) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-08-30 |