| NPI | 1164081915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024177383) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC RN1021762) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2023-12-05 |