| NPI | 1194244558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9326719) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9326719) |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2022-12-07 |