| NPI | 1275967085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP0022627) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN616212) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2020-12-21 |