| NPI | 1134685522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11010018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9438469) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2021-07-09 |