| NPI | 1215542394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95016361) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3015230) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: KY 57991) | |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-01-13 |