| NPI | 1790376937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 201534) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK 102364) |
| Enumeration Date | 2021-01-31 |
| Last Update Date | 2021-10-04 |