| NPI | 1376122275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 0035511) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 29179) |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2024-01-04 |