| NPI | 1285288274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2003010322) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 80050) |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2023-01-03 |