| NPI | 1396485371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 202207004NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 331632) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-06-07 |