| NPI | 1013257583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN3294442) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 19281) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2023-12-19 |