| NPI | 1508308685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP9629) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: TX 730182) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2023-04-26 |