| NPI | 1225526205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 853333) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8533) |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2022-04-27 |