| NPI | 1083030142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9173932) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9173932) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: ZZ ARNP9173932) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-10-02 |