| NPI | 1336474162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 18628) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71003058A) |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2023-10-26 |