| NPI | 1174772834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009951) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA SP009951) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2025-08-14 |