| NPI | 1104488337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11003450) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11003450) |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2024-09-12 |