| NPI | 1225691769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 214139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 903301) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 903301) | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2020-08-16 |