| NPI | 1104372564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: FL APRN11010920) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO APN.099058-NP) |
| 163W00000X Registered Nurse (Licence: CO RN.0205262) | |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2025-02-06 |