| NPI | 1497307979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 9836468-4405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 9836468-3102) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2024-08-21 |