| NPI | 1427120153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 116299) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WI 1633) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2021-01-11 |