| NPI | 1083156277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202007158NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024176944) |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2021-01-29 |