| NPI | 1003286493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC005951) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F138521) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2024-08-28 |