| NPI | 1063943173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: HI PENDING) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: HI APRN-2243) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2019-10-17 |