| NPI | 1780421222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2024030414) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2022028693) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2024-08-02 |