| NPI | 1144982190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 54282) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 53557) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MT 215881) | |
| Enumeration Date | 2021-10-07 |
| Last Update Date | 2025-01-13 |