| NPI | 1083634117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9102569) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA PA21373) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-01-25 |