| NPI | 1205477734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R216640) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD 104673939) |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-10-17 |