| NPI | 1558773028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ 241811) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2006020259) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2020-07-07 |