| NPI | 1538638028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024183906) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 218591) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 0001240) | |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2024-07-19 |