| NPI | 1083763700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3002499) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3002499) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2025-07-18 |