| NPI | 1619526142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 10618) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: MN 2465687) |
| Enumeration Date | 2019-09-07 |
| Last Update Date | 2024-09-09 |