| NPI | 1497021646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21861) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2020012282) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421075-1) | |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2022-03-04 |