| NPI | 1558620781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: ID NP-1050A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID N-38712) |
| 163W00000X Registered Nurse (Licence: ID NP-1050A) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: MT NUR-APRN-LIC-238567) | |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2025-08-05 |