| NPI | 1346889656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP022430) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 685456) |
| 163W00000X Registered Nurse (Licence: PA 658241) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421447) | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2022-04-08 |