| NPI | 1215209663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP012840) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: PA SP011782) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2024-04-11 |