| NPI | 1194968255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: TN 143664) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN15715) |
| Enumeration Date | 2009-04-19 |
| Last Update Date | 2022-09-20 |