| NPI | 1235648148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP10566) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 23213) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 23213) | |
| Enumeration Date | 2017-09-22 |
| Last Update Date | 2021-03-23 |