| NPI | 1194460386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2022023161) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: KS 13121666012) |
| Enumeration Date | 2022-05-02 |
| Last Update Date | 2024-09-05 |