| NPI | 1952336711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR 01021) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR 01021) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX not applicable) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX not applicable) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2023-03-07 |