| NPI | 1912987926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201505556NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN 0000005657) |
| 163W00000X Registered Nurse (Licence: TN RN0000055333) | |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2020-02-03 |