| NPI | 1124676325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 0000023649) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 0000023649) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2019-08-30 |