| NPI | 1407867989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 17565) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 08103) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2025-07-10 |