| NPI | 1083073365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11008501) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 69313) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2021-05-21 |