| NPI | 1760969125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 6051) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 1912993) |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-08-03 |