| NPI | 1326747171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11031231) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9274178) |
| Enumeration Date | 2023-03-01 |
| Last Update Date | 2024-02-16 |