| NPI | 1346200417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9245884) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 102510) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-10-14 |