| NPI | 1144702119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 8472) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2279907) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2023-03-09 |