| NPI | 1073288379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024179471) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024179471) |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |