| NPI | 1164635637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2017028577) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: KS 44460) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-06-03 |