| NPI | 1407393663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: GA 275887) |
| Additional Taxonomies | 163WX0002X Registered Nurse Obstetric, High-Risk (Licence: TN 0000194496) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TN APN0000022029) | |
| Enumeration Date | 2017-01-26 |
| Last Update Date | 2020-03-18 |