| NPI | 1912240037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 158683-30) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WI 158683-30) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 158683-30) | |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2024-05-10 |