| 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 | 2025-09-03 |