| NPI | 1376772061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3867-33) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 3867) |
| 163W00000X Registered Nurse (Licence: WI 149885) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2024-05-22 |