| NPI | 1326519646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 10585-033) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61406578) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 6343) | |
| 363L00000X Nurse Practitioner (Licence: MN 6343) | |
| Enumeration Date | 2018-12-13 |
| Last Update Date | 2026-01-08 |