| NPI | 1114557048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP020878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN700743) |
| 163W00000X Registered Nurse (Licence: NJ 26NR19867800) | |
| 163W00000X Registered Nurse (Licence: TN 216309) | |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |