| NPI | 1124072988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP000141F) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: LA RN037974) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: LA AP01173) | |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2018-11-12 |