| NPI | 1235714510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014209) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5014209) |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2024-07-15 |