| NPI | 1346790003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN11021749) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 420942) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2023-02-01 |