| NPI | 1306722855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC008097) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV 112489) |
| Enumeration Date | 2025-08-12 |
| Last Update Date | 2026-01-15 |