| NPI | 1376781013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95015648) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP6444) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209008024) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2024-05-20 |