| NPI | 1164895298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95006710) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: MA RN2303820) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO MSAPN.0000016-NP) | |
| 163W00000X Registered Nurse (Licence: CA 95127449) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2024-11-25 |