| NPI | 1336850130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP500007575) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024186006) |
| Enumeration Date | 2022-12-12 |
| Last Update Date | 2024-06-18 |