| NPI | 1346973526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 285292) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2022011834) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2022024168) | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-05-11 |