| NPI | 1073385357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 1102204) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 041463253) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2023-10-30 |