| NPI | 1427697192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 8661) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000241) |
| Enumeration Date | 2019-12-30 |
| Last Update Date | 2022-12-09 |