| NPI | 1265761035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 4282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 172982) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 15756) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 15756) | |
| 163W00000X Registered Nurse (Licence: AZ 171174) | |
| Enumeration Date | 2009-12-08 |
| Last Update Date | 2013-06-11 |