| NPI | 1497305049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F155257) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IA 109216) |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |