| NPI | 1912113465 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9264764) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001188952) |
| 363L00000X Nurse Practitioner (Licence: VA 0017138032) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2023-03-07 |