| NPI | 1710226204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 10018842APRN-NP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP 07195) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP61501809) | |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2024-03-12 |