| NPI | 1215271986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5009871) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC pending) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R202805) | |
| Enumeration Date | 2012-11-20 |
| Last Update Date | 2020-04-11 |