| NPI | 1407629207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0010281) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 089859-21) |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2023-11-21 |