| NPI | 1306357595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R155004) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP200003306) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2025-03-17 |