| NPI | 1073097523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 204694) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CO 1647646) |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2023-07-20 |