| NPI | 1245866714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 905181) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11017591) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-148061) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP001530) | |
| 163W00000X Registered Nurse (Licence: MN 2472837) | |
| 163W00000X Registered Nurse (Licence: AL 1-148061) | |
| 163W00000X Registered Nurse (Licence: MI 4704344323) | |
| 363L00000X Nurse Practitioner (Licence: MS 905181) | |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2023-08-02 |