| NPI | 1174526065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN7347) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 109025) |
| 363L00000X Nurse Practitioner (Licence: TN APN0000007347) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2020-10-23 |