| NPI | 1023252707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 258169) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2004020175) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2026-02-19 |