| NPI | 1982820510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP7016) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ RN054682) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2022-07-21 |