| NPI | 1174872220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: DE LH-0000204) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: DE L1-0044198) |
| 163WX0200X Registered Nurse Oncology (Licence: PA RN575222) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: PA SP012353) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2021-06-02 |