| NPI | 1346645447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 112356) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 53-76378-091) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2018-02-25 |