| NPI | 1427401819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN CNP 4662) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL TPAN2988) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2025-04-03 |