| NPI | 1205532884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP029960) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11013461) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2024-08-27 |