| NPI | 1841753563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11002322) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: FL 3292252) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-05-04 |