| NPI | 1184906471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 20808) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 5892569-4405) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP011766) | |
| Enumeration Date | 2011-09-13 |
| Last Update Date | 2020-04-16 |