| NPI | 1942699962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP06267) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN125999) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2022-08-02 |