| NPI | 1487113965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11010153) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9363293) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2021-04-16 |