| NPI | 1023577624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-137810) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 903264) |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-12-02 |