| NPI | 1003489816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95031869) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95388635) |
| 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: TX 625382) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2024-09-05 |