| NPI | 1134671548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP016114) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC 1041515) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R224738) | |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-12-15 |