| NPI | 1013447317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 104405829) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AL AG0117068) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2024-12-23 |