| NPI | 1063943249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2306917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60772636) |
| 163W00000X Registered Nurse (Licence: MA RN2306917) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60798029) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-04-11 |