| NPI | 1205589785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AL 1-148948) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-148948) |
| Enumeration Date | 2022-02-03 |
| Last Update Date | 2022-02-03 |