| NPI | 1821098856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP7000) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN040201) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2023-03-07 |