| NPI | 1316927635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ID 63089) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AK 11) |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2020-03-02 |