| NPI | 1003373176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-162261) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-162261) |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2021-04-02 |