| NPI | 1679096291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 995781) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN210257) |
| 163W00000X Registered Nurse (Licence: TN 209334) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP10631) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 61266) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 830951) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP10631) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-06-13 |