| NPI | 1124884721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 113935) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NE 113935) |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2024-02-22 |