| NPI | 1841439189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP010193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP021650) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN188395) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2021-07-28 |