| NPI | 1821407248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95013661) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F420893-1) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: VT 101.0108817) | |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2020-04-08 |