| NPI | 1013338094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: LA AP04432) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: LA RN105741) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP04432) | |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2025-01-31 |