| NPI | 1114204641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA F170666) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111306) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2023-12-29 |