| NPI | 1316768369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 15182) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 15182-33) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2025-01-07 |