| NPI | 1720100860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 8054) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0001262505) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000008054) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-07-19 |