| NPI | 1386206803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 273414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 453523) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA 95196920) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95012970) | |
| Enumeration Date | 2019-07-04 |
| Last Update Date | 2023-01-24 |