| NPI | 1831643675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 20272) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 20272) |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2018-03-17 |