| NPI | 1023356748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MI 4704177641) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704177641) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2020-08-05 |