| NPI | 1235642281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 2271450) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95007802) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2025-07-14 |