| NPI | 1538230040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA TP006808G) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: PA RN278832L) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: PA TP006808G) | |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2022-02-14 |