| NPI | 1124638184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3015150) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 155437) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2023-02-13 |