| NPI | 1245250257 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP03902) | 
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA AP03902) | 
| 363L00000X Nurse Practitioner (Licence: LA RN051917) | |
| Enumeration Date | 2006-07-20 | 
| Last Update Date | 2023-03-03 |