| NPI | 1285629998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 2972182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704094692) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704094692) | |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2022-07-21 |