| NPI | 1871763177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NV 822113) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 081476) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 741506 or 18750) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2021-10-21 |