| NPI | 1679907422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5006404) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 223799) |
| Enumeration Date | 2013-08-29 |
| Last Update Date | 2020-02-26 |