| NPI | 1609165372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4211) |
| Additional Taxonomies | 364SC1501X Clinical Nurse Specialist, Community Health/Public Health (Licence: AZ AP4225) |
| 163WC1500X Registered Nurse, Community Health (Licence: AZ RN169571) | |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2016-06-09 |