| NPI | 1316585268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP021315) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN725044) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2020-11-09 |