| NPI | 1023689486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 214452) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: LA RN122544) |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-10-06 |