| NPI | 1245738269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 7874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: RI RN58001) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-10-08 |