| NPI | 1336387612 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 73397) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA 306774) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2023-08-17 |