| NPI | 1578136263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP262694) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO C-APN.0002862-C-NP) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61170616) | |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-12-02 |