| NPI | 1063647436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 991068) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-007558) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-04-07 |