| NPI | 1508642158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 297308) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 183901) |
| 163W00000X Registered Nurse (Licence: NC 352483) | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |