| NPI | 1609354679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 8683) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WI 129862-30) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 8683-33) | |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2022-09-14 |