| NPI | 1316502578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC THOR-8PAAOf) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5011771) |
| Enumeration Date | 2019-05-03 |
| Last Update Date | 2020-10-19 |