| NPI | 1326392259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2024008961) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-132474) |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2024-06-27 |