| NPI | 1144663758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9266192) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9266192) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2019-01-23 |