| NPI | 1235477522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2012029015) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 53-79951-011) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2022-05-12 |