| NPI | 1831237064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201401237NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F078045) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2021-03-22 |