| NPI | 1386938553 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP000025) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM R07910) |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2021-07-07 |