| NPI | 1558769901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TN APN0000019592) |
| Additional Taxonomies | 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: TN RN0000165254) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TN APN0000019592) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2024-01-04 |