| NPI | 1326565045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F118964) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0197859) |
| 163W00000X Registered Nurse (Licence: IA 118964) | |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-03-19 |