| NPI | 1245263680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP1655) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN120707) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 658676) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2023-05-25 |