| NPI | 1336673458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2017001303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2010022925) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |