| NPI | 1083714968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 0034594) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN184471 NP) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2024-03-06 |