| NPI | 1790867349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP2749) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ 146353) |
| 163W00000X Registered Nurse (Licence: OH NP 06743) | |
| 363L00000X Nurse Practitioner (Licence: WA RN60740487) | |
| 363L00000X Nurse Practitioner (Licence: WA AP60740488) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2019-06-26 |