| NPI | 1124167770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC APRN 798) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC WH798) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2024-05-02 |