| NPI | 1649776139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP022845) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2320475) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2020-11-20 |