| NPI | 1073017463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11017654) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201905672NP) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201905672NP-PP) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2022-09-28 |