| NPI | 1316905714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: MA 131630) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: MA 131630) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2022-07-21 |