| NPI | 1013583657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 5380781122) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95014934) |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2022-08-25 |