| NPI | 1063934487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 56278) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: ID N-41146) |
| 363LF0000X Nurse Practitioner, Family (Licence: ID 56278) | |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-08-08 |