| NPI | 1043945538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140317) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL F06221056) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2022-09-26 |