| NPI | 1134771595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 231838) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ 231536) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 231536) | |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2023-12-20 |