| NPI | 1326480039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R178324) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R178324) |
| Enumeration Date | 2013-07-23 |
| Last Update Date | 2024-04-06 |