| NPI | 1063143030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP1059395) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024184504) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R248682) | |
| Enumeration Date | 2022-06-21 |
| Last Update Date | 2023-10-08 |