| NPI | 1295980365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9396058) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001461) |
| Enumeration Date | 2008-11-17 |
| Last Update Date | 2022-07-21 |