| NPI | 1861955601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704311684) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704311684) |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2022-06-24 |