| NPI | 1053828459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-122423) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AL 1-122423) |
| Enumeration Date | 2018-01-07 |
| Last Update Date | 2024-02-02 |