| NPI | 1235128000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 090803-21) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 251946) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2023-05-09 |