| NPI | 1235501214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008142) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NC 5008142) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NC 266346) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2024-11-05 |