| NPI | 1235621905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: SC 21899) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NH 030621-23) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2020-08-25 |