| NPI | 1548402340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP000578) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9245354) |
| 363L00000X Nurse Practitioner (Licence: NV TAPN700491) | |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2022-11-28 |