| NPI | 1053631564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 4123-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 154646-030) |
| 363L00000X Nurse Practitioner (Licence: WI 4123-33) | |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2023-06-29 |