| NPI | 1366509622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ AP1938) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: AZ RN126613) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2024-05-11 |