| NPI | 1326581224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP016856) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11012833) |
| Enumeration Date | 2016-11-24 |
| Last Update Date | 2023-10-25 |