| NPI | 1346603941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5015179) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 20082) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2023-12-07 |