| NPI | 1275224016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8274686-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 8274686-4405) |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-11-18 |