| NPI | 1801432067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-161945) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-161945) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2023-07-12 |