| NPI | 1396083242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201400201NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 721409) |
| 363L00000X Nurse Practitioner (Licence: WA AP60577137) | |
| Enumeration Date | 2013-01-28 |
| Last Update Date | 2023-11-21 |