| NPI | 1245518661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111209) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111209) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2020-07-09 |