| NPI | 1144850645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R207404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R207404) |
| 163W00000X Registered Nurse (Licence: DC RN1034404) | |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |