| NPI | 1609613173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024190625) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: VA 0024190625) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-12-09 |