| NPI | 1083232052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11007468) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11007468) |
| Enumeration Date | 2020-07-07 |
| Last Update Date | 2024-06-26 |