| NPI | 1326157512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5000691) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 130316) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2021-03-26 |