| NPI | 1952761942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP015701) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN623792) |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2017-03-27 |