| NPI | 1487226627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP024233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN698301) |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2021-10-13 |